Dra. Miriam A. Cázares Medina

https://www.nejm.org/doi/full/10.1056/NEJMoa2312054?query=TOC&cid=NEJM%20eToc,%20January%2025,%202024%20DM2320066_NEJM_Non_Subscriber&bid=2062487603

Daratumumab, Bortezomib, Lenalidomide, and Dexamethasone for Multiple Myeloma | NEJM Original Article from The New England Journal of Medicine — Daratumumab, Bortezomib, Lenalidomide, and Dexamethasone for Multiple Myeloma

https://annalsofintensivecare.springeropen.com/articles/10.1186/s13613-023-01233-7

The critically ill older patient with sepsis: a narrative review - Annals of Intensive Care Sepsis is a significant public health concern, particularly affecting individuals above 70 years in developed countries. This is a crucial fact due to the increasing aging population, their heightened vulnerability to sepsis, and the associated high mortality rates. However, the morbidity and long-t...

https://www.nejm.org/doi/full/10.1056/NEJMoa2301425?query=TOC&ssotoken=U2FsdGVkX1%2FuV0lvAfZKORgwWpruGZAES30C%2F1vPQSi8CdT4LSKArfZ2AYH2hGS%2BCFHcf%2BqJV%2BbGsdEbrUlTRAPBznFj%2BUCUnkUxphK1oDzft315P7z%2F7oNW7ceCcfeXCp14xgJvNCNkmVammRqfgg%2B9pHwGJxbFUX2muAIBtg50lN8jWkgfQVEIreK9ABUaoPGnLkEDsUvocnOlmLBUeg%3D%3D&cid=NEJM%20eToc,%20January%2018,%202024%20DM2318234_NEJM_Non_Subscriber&bid=2046186452

Oral Simnotrelvir for Adult Patients with Mild-to-Moderate Covid-19 | NEJM Original Article from The New England Journal of Medicine — Oral Simnotrelvir for Adult Patients with Mild-to-Moderate Covid-19

https://www.nejm.org/doi/full/10.1056/NEJMoa2310234?query=TOC&ssotoken=U2FsdGVkX19OFG9XKQpWUGrc9lvcd%2FS%2B1KP695vWgfVQ0nbOjneSM0YuXsPZMdvl6Zu%2Fr6McUx8hzQPeYSXYLNs1%2BAAS4QUwgJAUz5D5gfotNETEdhRTZ1%2B3xTBB8umJXOyhABNlNYNjvQP93CtTLvk%2BUjv%2FLK0dSyKzHgTfbfaWWLMzU4vTuGymp3m08%2BdtdhCusAaBqHLpSSUD3k8zpQ%3D%3D&cid=NEJM%20eToc,%20January%2011,%202024%20DM2316305_NEJM_Non_Subscriber&bid=2036710816

Apixaban for Stroke Prevention in Subclinical Atrial Fibrillation | NEJM Original Article from The New England Journal of Medicine — Apixaban for Stroke Prevention in Subclinical Atrial Fibrillation

In a nearby galaxy, a star about 15 times more massive than our Sun exploded – and it left behind this spectacular view, as seen by Hubble and Chandra X-ray Observatory: https://go.nasa.gov/3NR0tDy

Known as N132D, this supernova remnant was also an early observation for the recently launched X-ray Imaging and Spectroscopy Mission (XRISM), an exciting new X-ray observatory partnership between JAXA (Japan Aerospace Exploration Agency), NASA - National Aeronautics and Space Administration, and ESA - European Space Agency.

Studying our universe across multiple wavelengths of light is critical for getting a fuller understanding of cosmic objects. Hubble can observe in visible, ultraviolet, and near-infrared light – and with XRISM observing X-rays, it can add more information to targets previously observed by Hubble, and vice versa!

Find out more about XRISM’s first look: https://go.nasa.gov/3S6YYDF

Image credit: NASA/STScI/CXC/SAO, processing by Judy Schmidt, CC BY-NC-SA

Gracias!! Un gusto poder formar parte de Médica Jardines 🙏🏼🙏🏼🥰

https://www.nejm.org/doi/full/10.1056/NEJMclde2304134?query=TOC&cid=NEJM+eToc%2C+January+4%2C+2024+DM2314815_NEJM_Non_Subscriber&bid=2021150607

Dietary Protein Restriction in Patients with Chronic Kidney Disease | NEJM Clinical Decisions from The New England Journal of Medicine — Dietary Protein Restriction in Patients with Chronic Kidney Disease

https://www.nejm.org/doi/full/10.1056/NEJMoa2309137?query=TOC&cid=NEJM%20eToc,%20December%2028,%202023%20DM2313296_NEJM_Non_Subscriber&bid=2007107290

Dual Antiplatelet Treatment up to 72 Hours after Ischemic Stroke | NEJM Original Article from The New England Journal of Medicine — Dual Antiplatelet Treatment up to 72 Hours after Ischemic Stroke

“Yo no sé cómo le haces, pero siempre puedes con todo, incluso con miedo lo intentas, y vuelves a empezar, y vuelves a brillar, y vuelves a ser tú. Te han roto el corazón pero jamás te han quitado las ganas de brillar, sigues creyendo en los hilos rojos aunque te hayan fallado no sé cuántas veces, y está bien, apuesto a que un día será el bueno, pequeña terca. Eres una obra de arte, y no lo digo por tu cuerpo, por tu sonrisa o por esos ojazos, lo digo porque en esa alma seguro llevas un museito con la noche estrellada y algunos atardeceres, ¿y sabes algo? De eso deberían enamorarse, deberían amarte por tu corazón. Pero lo mejor de ti es que curas, que los que te conocen saben el tesoro que tienen enfrente, que los que te tienen cerquita conocen lo mucho que quieres y cuidas, y luchas, y cantas, y bailas, y siempre, siempre estás cuando te necesitan, por eso eres una vez en la vida. Así que no vuelvas a aceptar menos, no vuelvas a apagarte y no vuelvas a insistir donde no sean capaces de ver la maravilla que eres, mamacita”.

Mujer medicina.

-Emmanuel Zavala

Management of Heart Failure in Hospitalized Patients | Annals of Internal Medicine Heart failure affects more than 6 million people in the United States, and hospitalizations for decompensated heart failure confer a heavy toll in morbidity, mortality, and health care costs. Clinical trials have demonstrated effective interventions; however, hospitalization and mortality rates rema...

https://www.nejm.org/doi/full/10.1056/NEJMoa2306691?query=TOC&cid=NEJM%20eToc,%20December%207,%202023%20DM2307322_NEJM_Non_Subscriber&bid=1966396745

Baricitinib and β-Cell Function in Patients with New-Onset Type 1 Diabetes | NEJM Original Article from The New England Journal of Medicine — Baricitinib and β-Cell Function in Patients with New-Onset Type 1 Diabetes

In women who have BRCA1/2 mutations and primary breast cancer, radiation therapy might increase the risk for cancer in the other breast. https://jwat.ch/414ZiWr

https://www.nejm.org/doi/full/10.1056/NEJMoa2307563?query=TOC&ssotoken=U2FsdGVkX1%2Fsm%2BdsJhJhfa1%2F8xcjeS7lKo3XW9DbP2mJVsgnGWfjH41MI5TwwEUggQdgMm4iQrLnJzIEriUKLcNLVIXbSGMZ7eRqN9XHKdtgJHIyuiLuvyDYrbl9F2osKTDeUam%2F6zAfUMllTk57vgKQYY8OHe7EbxeeJSsRa%2BjmAR7dujv6NLNNjNYk0MOeu8n0edRABZbbvQ7ayXuvWQ%3D%3D&cid=NEJM%20eToc,%20November%2016,%202023%20DM2300857_NEJM_Non_Subscriber&bid=1926587297

Semaglutide and Cardiovascular Outcomes in Obesity without Diabetes | NEJM Original Article from The New England Journal of Medicine — Semaglutide and Cardiovascular Outcomes in Obesity without Diabetes

Multiple sclerosis remains one of the most common causes of neurological disability in young adults, and has a substantial impact on social, economic, and individual wellbeing.

A new Seminar reviews the latest findings that have improved our understanding of multiple sclerosis and explores the challenges around understanding and targeting continuous neurodegeneration: https://hubs.li/Q028kkgl0

👇 Figure: Multiple sclerosis pathology.

https://www.nejm.org/doi/full/10.1056/NEJMoa2308550?query=TOC&ssotoken=U2FsdGVkX1%2Fsm%2BdsJhJhfa1%2F8xcjeS7lKo3XW9DbP2mJVsgnGWfjH41MI5TwwEUggQdgMm4iQrLnJzIEriUKLcNLVIXbSGMZ7eRqN9XHKdtgJHIyuiLuvyDYrbl9F2osKTDeUam%2F6zAfUMllTk57vgKQYY8OHe7EbxeeJSsRa%2BjmAR7dujv6NLNNjNYk0MOeu8n0edRABZbbvQ7ayXuvWQ%3D%3D&cid=NEJM%20eToc,%20November%209,%202023%20DM2298863_NEJM_Non_Subscriber&bid=1913790025

Sparsentan versus Irbesartan in Focal Segmental Glomerulosclerosis | NEJM Original Article from The New England Journal of Medicine — Sparsentan versus Irbesartan in Focal Segmental Glomerulosclerosis

Inhaled Amikacin to Prevent Ventilator-Associated Pneumonia | NEJM Original Article from The New England Journal of Medicine — Inhaled Amikacin to Prevent Ventilator-Associated Pneumonia

Buenas tardes, como ya se sabe, en Acapulco, Guerrero están en una situación de crisis y buscamos apoyar recibiendo insumos para su posterior envío a Cruz Roja y centros de distribución. Cualquier ayuda es buena, favor de difundir. Gracias 🙏🏼🙏🏼